COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ .. : Index No. PROBATE COURT OF MONTGOMERY COUNTY, OHIO : Calendar No. ALICE O. McCOLLUM, JUDGE GUARDIANSHIP OF : Plaintiff(s) -against- JUDICIAL SUBPOENA : CASE NO. : : APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR Defendant(s) (R. C. 2111.03 (C)) : ..................................................... Applicant, a resident of County, Ohio, hereby applies for the appointment of (himself) (herself) or some suitable person as guardian of the following minor and represents that the applicant is not an administrator, executor, or other fiduciary of an estate wherein the HE PEOPLE OF THE STATE OF NEW YORK minor is interested. O Name of Minor Age Date of Birth Residence or Legal Settlement GREETINGS: WE COMMAND YOU, is a list business and of kin of the minor. (Form 15.0) Attached that all of the next excuses being laid aside, you and each of you attend before , he Honorable at the Court A guardian is necessary because (R.C. 2111.06), located at ounty of n room , on the day of , 20 , at o'clock in the noon, and at any recessed r adjourned date, to testify and give evidence as a witness in this action on the part of the THE TYPE OF GUARDIANSHIP APPLIED FOR IS Non-limited Limited Person and Estate Estate subpoena is punishable as aOnly Person contempt of court and will make you liable to Your failure to comply with this Only he party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a IF THE APPLICATION IS FOR LIMITED GUARDIANSHIP, esult of your failure to comply. The length (time period) of the guardianship requested is: Witness, Honorable ourt in County, Indefinite day of Definite to , one of the Justices of the , , 20 The limited powers requested are: (Attorney must sign above and type name below) Applicant attaches affidavit pursuant to R.C. 3109.27. Attorney(s) for Applicant represents that grounds exist for the Court to exercise its Jurisdiction. (Applies to guardianship of person only. R.C. 3109.22). The Applicant has (not) been charged with or convicted of a crime involving theft, physical Office and P.O. Address violence, or sexual, alcohol or substance abuse except as follows (if applicable, state date and place of each charge or each conviction). Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 1 of 2 FORM 16.0 - APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR American LegalNet, Inc. www.USCourtForms.com 09/01/91 COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. CASE NO. : The whole estate of said minor is estimated as follows: : Personal property Plaintiff(s) Real estate -against: Annual rents Other annual income : Applicant offers the attached bond in the amount of $ Calendar No. JUDICIAL$SUBPOENA $ $ Total $ : I hereby certify that all the information and statements contained in this application and attached Defendant(s) exhibits are correct to the best of my knowledge and belief. : ...................................................... Attorney for Applicant Applicant Typed or printed name Typed or printed name Street Street THE PEOPLE OF THE STATE OF NEW YORK TO City GREETINGS: State Zip City Zip State WE COMMAND YOU, Phone number (include area code) that all business and excuses being laid aside, you andcode) of you attend before Phone number (include area each , the Honorable at the Court located County of Court Registration Number at Supreme in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Page 2 of 2 FORM 16.0 - APPLICATION FOR APPOINTMENT OF GUARDIAN OF MINOR American LegalNet, Inc. www.USCourtForms.com